Analysis Of King 's Theory Of Goal Attainment

The client is more than the patient I am caring for on the unit. It extends to the family, caregivers, and friends. When working with complex patients, I remind families they are the “expert” on the patient. They feel valued knowing their information and input is

As a Registered Nurse is a crucial component to ensure that there is effective communication between the nurse and patient. As well as being respectful to the person’s dignity, culture, values, beliefs and rights. This is because everyone is different, and due to this it is important that I am being cautious to each person’s individual needs.

Not all patients are capable of independently identifying and articulate their care needs, so the nurse also adapts the role as an advocate. Clarity and continuity in a trusting environment enables good communication. Progressive identification of needs takes place as nurse and patient communicate with one another in the interpersonal relationship (Peplau 1988, p. 84). Being considerate to the needs and vulnerability of patients is a moral attribute, as nurses are accountable for the care they deliver.

Listening and attending, empathy, information giving and support in the context of a nurse-patient relationship are identified as essential communication skills in nursing (Timmins, 2007).

An important aspect of nurse practice is communication as it is the process of transferring information, feelings and ideas (RCN, 2015). It also provides knowledge based on identifying behaviour patterns, establish a relationship between nurse and patient and it is also

Imogene King was born in 1921in Iowa. Growing up, she dreamed of being a teacher but began nursing school to escape her small town life. She graduated with a diploma in nursing in 1945, then three years later earned a Bachelor of Science in Nursing Education and worked as medical-surgical instructor and an assistant director at St. John’s School of Nursing until 1958, fulfilling her lifelong dream of being a teacher wither nursing career. She went on to earn a Master of Science in Nursing in 1957 and a doctorate in education in 1961 (Imogene King, 2011). King then became an associate professor at Loyola University in Chicago and formed a master’s degree program that was based on her nursing concepts, which later became the framework for her theory.

As a nurse, communication is an essential and important factor to building a therapeutic relationship between a nurse and patient as it is the difference between average and excellent nursing care, as it helps maintain a good quality of life and allows nurses’ and patients to interact and provide comfort when needed. The importance of good communication can become apparent with patients especially when they are in the hospital, as it helps the nurses build a positive relationship with patients and helps overcome barriers including physical, psychological and social. A therapeutic relationship is built on many factors which include both verbal and non-verbal communication which helps maintains the relationship and strengthens it due to the positive impact it has not only on the patient’s experience but also the nurse’s.

In this scenario the nurse is and can be faced with having to communicate with any given person on staff to ensure appropriate quality care. Being part of the interdisciplinary healthcare team and learning how to communicate effectively within this team and encourage others to do the same is one of the many vital responsibilities that a nurse must be able to handle well.

A nurse-patient relationship is the basic requirements in all practice settings. Its usage is to manage communication between an organization and a public while maintaining boundaries in the therapeutic relationship. Based on Peplau’s interpersonal theory, communication takes place in a nurse-client relationship where therapeutic process occurs involving complex factors such as environment, attitudes, practices, and beliefs in the dominant culture (seu.edu, 2015). The actions of each person in a nurse-patient relationship is measured on the collaboration of their thoughts, feelings, and experiences. Nurse’s work to attain, maintain, and restore the patient’s health until patient have fulfilled the health care needs. Patient must be guided and provided a well-respected environment until a better health and specific needs are fully considered in the relationship. In this kind of setting, nurse’s must create relationship with patients by communicating receptivity, assimilating the concepts of empathy, trust, genuineness, respect, and confidentiality into their interactions.

Effective communication in the healthcare setting improves recovery rates and reduces pain and complication rates. (Wilkinson et al, 2003). Many complaints to the NHS are attributed to poor communication. Effective communication is reliant on the nurse working in partnership with the patient. It is essential that the nurse establishes a rapport and most of this will be achieved through the use of facial expressions. In my practice, it is important that develop a therapeutic relationship with the patients so that they can be able to put their trust in me. The therapeutic relationship is solely to meet the needs of the patient. In this relationship, there is a rapport established from a sense of mutual understanding and trust. To build a good nurse-patient relationship, I would have to show qualities of empathy, caring, sincerity and trustworthiness. During practice, if I am approaching a patient and the patient looks anxious, I should approach with empathy.

Working well with people is an important factor in the nursing career; a nurse must always be respectful to every patient regardless of the situation. Persuasion sometimes has to be used because a patient may not want a certain medication so a nurse must help the person understand that it is what is best for him or her health and their track to recovery. A nurse must always pay close attention to their patients because if problems or concerns come up, a nurse must be the first to notice it.

Imogene King was the Midwestern, twentieth century nursing theorist that developed the conceptual system and theory of goal attainment and transactional process. Although not without controversy, her theory has been the spring board for some middle range nursing theories and nursing education programs. This theory is particularly intriguing to individuals who are goal driven and will be explored in detail in the following paragraphs.

Arnold E (1999). Interpersonal Relationships: Professional Communication Skills for Nursing. 3rd Edition. Philadelphia: WB Saunders Company.

Nurses must assess a patient’s communication needs with respect to their age, gender, culture, developmental status and be able to modify their care related to these needs. This also is a consideration when communicating with those around us daily.

Within nursing, there is a very delicate balance between a nurse and her patient that must be maintained if the patient is to receive the care that he or she is entitled to receive. The patient must feel comfortable trusting his nurse to hear his needs and respond to them appropriately and in order for this to be the case, the nurse must first provide therapeutic communication effective enough to elicit such a response in her patient. There are both verbal and non-verbal components within the nurse-patient relationship. These components greatly influence how a nurse and patient will relate to each other and, ultimately, greatly influence the care that the patient receives.